Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.77 / $223.87 / $339.39	Professional		$181.77	$223.87	$339.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $236.66 / $236.66 / $290.17	Professional		$236.66	$236.66	$290.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.14 / $273.14 / $273.14	Facility		$273.14	$273.14	$273.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.40 / $199.40 / $273.14	Professional		$199.40	$199.40	$273.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $297.14 / $424.48 / $611.25	Professional		$297.14	$424.48	$611.25
United Facility/Professional Professional Modifier Low / Median / High Price $191.21 / $219.05 / $335.80	Professional		$191.21	$219.05	$335.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $236.10 / $236.10 / $297.14	Professional		$236.10	$236.10	$297.14